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Case Reports
. 2024 Feb;65(2):176-179.
doi: 10.1007/s00108-023-01559-1. Epub 2023 Jul 5.

[OCT, Triple H or anything else?]

[Article in German]
Affiliations
Case Reports

[OCT, Triple H or anything else?]

[Article in German]
Anna Heinen et al. Inn Med (Heidelb). 2024 Feb.

Abstract

Hyperammonemia is a life-threatening condition, the prognosis of which depends on a rapid reduction of ammonia. If a hepatic cause is excluded, the differential diagnosis is broad and even in adulthood includes hereditary metabolic diseases. Here, the case of a 25-year-old female patient with severe hyperammonemia refractory to standard therapy is described and the relevance of extracorporeal elimination of ammonia emphasized.

Die Hyperammonämie ist ein lebensbedrohliches Krankheitsbild, dessen Prognose von einer raschen Senkung des Ammoniaks abhängt. Ist eine hepatische Ursache ausgeschlossen, ist die Differenzialdiagnose breit und umfasst auch im Erwachsenenalter hereditäre Stoffwechselerkrankungen. Hier beschreiben wir den Fall einer 25-jährigen Patientin mit einer schweren, therapierefraktären Hyperammonämie und betonen die Relevanz der extrakorporalen Elimination des Ammoniaks.

Keywords: Ammonia; Cytosorb; Dialysis; Hemofilter; Liver failure.

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References

    1. Häberle J (2018) Diagnostik und Therapie von Harnstoffzyklusstörungen. https://www.awmf.org/leitlinien/detail/ll/027-006.html. Zugegriffen: 15.03.2023
    1. Häberle J. Hyperammonämie. Monatsschr Kinderheilkd. 2014;162:341–353. doi: 10.1007/s00112-014-3097-6. - DOI
    1. Long MT, Coursin DB. Undifferentiated non-hepatic hyperammonemia in the ICU: diagnosis and management. J Crit Care. 2022;70:154042. doi: 10.1016/j.jcrc.2022.154042. - DOI - PubMed
    1. Vagts DA, Kaltofen H, Emmig U, et al. H-H-H-Syndrom. In: Biro P, Vagts D, Emmig U, Kaltofen H, et al., editors. Anästhesie bei seltenen Erkrankungen. Berlin, Heidelberg: Springer; 2018. pp. 1–3.

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